Ivy Jean Havice PHARMD

NPI 1174896963 - Pharmacist - 183500000X

NPI Details
NPI 1174896963
Gender Female
Enumeration Date 02/09/2012
Last Updated 02/09/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
MEDFORD OR, 97504-6118, US
Phone (541) 772-3461
Fax (541) 772-7434
Business Location
MEDFORD OR, 97501-1958, US
Phone (541) 772-3461
Fax (541) 772-7434
Taxonomy Code 183500000X
License State Oregon
License Number 00140653
Remove 1174896963 NPI Number

According to our database, Dr. Ivy Jean Havice PHARMD NPI is 1174896963, taxonomy code is 183500000X and license number is 00140653, license state is located at Oregon. Ivy Jean Havice PHARMD physically located at 990 Biddle Rd, Medford OR, 97504-6118. NPI Number Ivy Jean Havice PHARMD has the Individual type.

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1174896963 NPI number is provided on an as is basis without warranty of any kind. 1174896963 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy Jean Havice PHARMD are for informational purposes only.